| NPI | 1558726422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY IAN KASSINOVE Cliniical Psychology 212-580-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 014602) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY P99046) |
| 103T00000X Psychologist (Licence: NY 7549075) | |
| 103T00000X Psychologist (Licence: NY p99660) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |